Telehealth includes the utilization of virtual technology and telecommunication that provide health care facilities as compared to traditional facilities of health care. As a basic factor of eHealth, Telehealth needs complete access to telecommunications and it also uses a major part of communication and information technologies. Different telehealth schemes can give the modified health care access and outcomes which are well designed. For vulnerable groups and the treatment of chronic disease special telehealth schemes are implemented. They make the health sector more resilient and also cost-saving and they also minimize the demand for crowded facilities. The training of telehealth also provided through different schemes of telehealth and its related technologies that are also utilized for the internet and small computers. The number of visits also reduces health service by remote communication and treatment of patients. Emission related to operational requirements and transport-related emission also minimizes according to requirement. With the concurrent reduction in the construction material s. energy and water consumption, waste and overall environmental impact, less space is required which results potentially in smaller health facilities. So telehealth provides a major facility to patients to get all the treatment related to health at home and they never visit the clinic or hospital to getting doctor’s instruction. (who.int, 2020)
Who: define the target population for efforts:
Telehealth and telemedicine will give great focus on different health sectors that need proper attention and they also need proper medication treatment according to their disease nature. to improve the efficiencies and to lower the costs, many health organizations turning to telehealth that spread at large scale the access to services for expanding patients in all areas especially rural. For clinical and nonclinical purposes and encompasses telemedicine, telehealth majorly defined as the delivery of service related to healthcare and its related information through telecommunication technology and to deliver a clinical diagnosis, services, and patient consultation, also utilize the telecommunication technology. In the use of telehealth and telemedicine and also explain its emerging applications of these technologies, the healthcare intelligence network September 2009 benchmark of telehealth and telemedicine e-survey settle the metrics and document trends. With the telehealth initiatives targets, many health organizations foci on a complete population related to different health issues and they also get a response. this organization considers different diseases like chronical illness, early Medicare population, and rural areas patients and members that give their response against the telehealth services. So telehealth services try to cover all the population and often them all the facilities that they can get without visiting the doctor and get proper treatment with complete satisfaction. Especially people of rural areas have to get maximum through this facility because access to a doctor is not an easy task for these people so through information technology they can complete awareness about their diseases and get proper solutions. (mayoclinic.org, 2020)
Who: consider factors like age, gender, ethnicity, location, and health issues:
In a better understating of medical detail of any patient, especially in the telehealth service, patients have to provide all types of information related to their health and gender must be given to doctors and physicians and then their proper disease diagnosis according to their explanation details. So there are different factors of matrices that help determine the disease of the patient with complete detail and for better understanding. It acts as a challenge and opportunity for the clarification of human identity for the environmental interaction as determinants of health and also provides better understanding. Different factors must be considered in this regard like age, gender, ethnicity, location and health issues. age means that different disease and their treatments are different in different people of different age groups so age must be told during their diagnosis of disease according to new requirements and suggest better treatment according to the age of the patient. Gender means that it must be known whether the person is male or female. Because different influences in males about the disease as compared to females so the gender identification must be mention to get better treatment of disease. (ncbi.nlm.nih.gov, 2017)
Biological linked to health differences and its relative contribution to gender relations belongs to specific health outcomes under different consideration. Ethnicity is the potential factor of risk in the disease that explain how much the disease affects the patient in different situations and how much it effected through different risk factors. Location is also considered very important in the diagnosis of disease because when telehealth service is used people of different areas in the world utilize this facility and when their disease diagnoses then it must be informed that where the patient is belonged so according to that place and environment the treatment is suggested. then health issues which are the most important factor because through telecommunication no doctor can see the patient directly so they have to tell all the details and information about the health issue and actual problem that patient has to face so their proper treatment and medicine must be suggested without any error. (ncbi.nlm.nih.gov, 2006)
What: define the goals:
Telehealth application and serviceman purpose are to provide all the facilities to all those people who are not easily visiting the doctor due to any reason and they also want proper medication services so telehealth center is the platform that provides all the better solution for their health problems and they get proper guidance about their health issue. Especially rural areas people who have no proper medical facilities can avail of this service without any cost and they also get a better solution. Many medical centers and organizations are using the telehealth service according to their requirements and also handle all the medical issues that people face at their places and they can’t come to the doctor. So the main aim of telehealth is to provide complete medical facilities and services to the people of the entire world who live in different places and they face different health issues according to their environment. Telehealth provides support to self-management of health care, they provide easy access to the medical specialist. They improve the coordination and communication of care among members of the health care team and a patient, they also make health care accessible to people who live in rural or isolated areas and they make service more readily available of people with limited time, transportation and mobility option. So the telehealth goal expands a huge level. (Lindeman, 2013)
Where: decide where the population will be for these efforts:
Telehealth service is one of the best facilities that offer different medical treatment to people at home and without any cost. It provides a patient portal to its patient that are helpful in contact with its healthcare centers. So these different care centers have online portals for their patients. Through email patients also keep in touch with their medical guidance. But this is considered insecure means of communication because this information may use for some other person to any other purpose so the portal is considered a secure place to keep sharing their personal information and medical history. This portal also schedule appointments or requests appointment reminders, it communicates with the doctors and a nurse according to patient requirement. It offers request prescription refills and it also reviews test results and summaries of previous visits according to patient treatment. These portals also provide a way of communication to all those who are kept in contact with specialists and also discuss their health condition in detail. They also get the virtual appointment from their doctors through the portal and they can easily communicate according to their appointment. So people related to rural areas that are not easily come and visits the doctors can avail of this facility and get their medical treatment without any disturbance. So telehealth is very much beneficial for all the people who cannot reach to doctor easily. (cms.gov, 2018)
How: decide what technologies will use to deliver the information:
Telehealth utilizes different technologies according to organizations’ requirements and they have to consider that all technologies must be easily accessible for all the people. several technologies utilize for getting better connectivity between the doctors and patients like home monitoring devices for older people, wearable devices that automatically record and transmit information, devices that measure and wirelessly transmit information and web-based or mobile application for uploading information. To help consumers better organize their medical information in one secure place by a multitude of apps have been created. Different digital tools for the telehealthcare system include record physical activity, schedules reminders for taking medicines, calculate and track caloric intake, record vital signs and store personal health information. So there are different telecommunication tools and applications are used to get better access to all the consumer and doctors and they maintain their connectivity in a better way. Telehealth is a strong way to develop a strong relationship between doctor and patient through information technology and web communication systems. This provides health facilities to all those who cannot come to visit the doctor and get proper medication treatment according to their disease. So telehealth is very effective and beneficial for isolate people.
Cms.gov. (2018). Information on Medicare Telehealth. 6-30.
Lindeman, A. B. (2013). Case Studies in Telehealth Adoption. 1-9.
Mayoclinic.org. (2020). Telehealth: Technology meets health care. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/telehealth/art- 20044878
Ncbi.nlm.nih.gov. (2006). Genes, Behavior, and the Social Environment: Moving Beyond Nature/Nurture Debate. 45-60.
Ncbi.nlm.nih.gov. (2017). The State of Health Disparities in the United States. 5-25.
Who.int. (2020). Telehealth. Retrieved from https://www.who.int/sustainable -development/health-sector/strategies/telehealth/en/
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